SPECTRUM HEALTH (NPI# 1033505128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033505128 |
| Entity Type | Organization |
| Organization Name | SPECTRUM HEALTH |
| Other Organization Name | MEMORIAL MEDICAL CENTER OF W MICH |
| Practice Address |
1 N Atkinson Dr Ludington MI 49431-1906 |
| Mailing Address |
6501 City West Pkwy Eden Prairie MN 55344-3248 |
| Practice Telephone | 2318452389 |
| Mailing Telephone | 9526532525 |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2015-12-16 |
| Authorized Official Name | KERRI NELSON (VP - FINANCE) |
| Authorized Official Telephone | 2318452251 |
| Is Organization Subpart | Y |
| Parent Organization Name | SPECTRUM HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Other Name | Type Code |
|---|---|
| Memorial Medical Center of W Mich | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356652481 | Spectrum Health | General Acute Care Hospital | 25850 Brolin Beach Rd, Detroit Lakes, MN 56501-7978 | 2010-06-23 |
| 1811983000 | Spectrum Health | Durable Medical Equipment & Medical Supplies | 4069 Lake Dr Se, Suite 210, Grand Rapids, MI 49546-8816 | 2005-09-22 |
| 1205078920 | Spectrum Health | General Acute Care Hospital | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2009-03-26 |
| 1134267867 | Spectrum Health | Chiropractor | 1108 W Parker Rd, Suite 110, Plano, TX 75075-4000 | 2007-02-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SPECTRUM HEALTH | 100 Michigan Ave Ne, Grand Rapids, MI 49503-2560 |
| Oregon Corporations, Companies and Business Names | SPECTRUM HEALTH AND WELLNESS, PLLC | 7701 Ne Vancouver Plaza Dr, Vancouver, WA 98662 |
| Washington State Corporations | SPECTRUM HEALTH AND WELLNESS, PLLC | 1848 Nw Sierra Way, Camas, WA 98607-7251 |
| System for Award Management (SAM) Entities | SPECTRUM HEALTH CARE | 1123 Wilkes Blvd Ste 250, Columbia, MO 65201-4774 |
| Colorado Business Entities | Spectrum Health CBD Inc. | 1086 Fontmore Road, Apt. A, Colorado Springs, CO 80904 |
| System for Award Management (SAM) Entities | SPECTRUM HEALTH LAKELAND | 1234 Napier Ave, Saint Joseph, MI 49085-2112 |
| System for Award Management (SAM) Entities | SPECTRUM HEALTH MEDICAL GROUP | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 |
| System for Award Management (SAM) Entities | SPECTRUM HEALTH POLICY RESEARCH , LLC | 1670 Mckendree Church Rd Ste 60, Lawrenceville, GA 30043-6676 |
| North Carolina Corporations | Spectrum Health Systems Inc. | 3414 Six Forks Road, Raleigh, NC 27609 |
| Virginia Business Entities | Spectrum Health Systems Inc. | 10 Mechanic Street, Suite 302, Worcester, Massachusetts 01608 |
| Street Address |
1 N ATKINSON DR |
| City | LUDINGTON |
| State | MI |
| Zip Code | 49431-1906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972589489 | Memorial Medical Center of West Michigan | General Acute Care Hospital | 1 N Atkinson Dr, Ludington, MI 49431-1906 | 2005-12-16 |
| 1508260902 | Memorial Medical Center of West Michigan | Family Medicine | 1 N Atkinson Dr, Ludington, MI 49431-1906 | 2014-10-14 |
| 1629481502 | Spectrum Health Primary Care Partners | Internal Medicine | 1 N Atkinson Dr, Ludington, MI 49431-1906 | 2014-06-09 |
| 1477966489 | West Michigan Heart | Internal Medicine | 1 N Atkinson Dr, Ludington, MI 49431-1906 | 2014-06-06 |
| 1326481847 | Brian Lindenborn | Nurse Anesthetist, Certified Registered | 1 N Atkinson Dr, Ludington, MI 49431-1906 | 2013-04-15 |
| 1790025500 | Indigo Hospital Medicine - Ludington, Plc | Family Medicine | 1 N Atkinson Dr, Ludington, MI 49431-1906 | 2013-02-15 |
| 1215280722 | Robert Paul Olson | Nurse Anesthetist, Certified Registered | 1 N Atkinson Dr, Ludington, MI 49431-1906 | 2012-10-22 |
| 1376781005 | Jorel Dickinson-hendershot | Nurse Anesthetist, Certified Registered | 1 N Atkinson Dr, Ludington, MI 49431-1906 | 2009-02-03 |
| 1538324553 | Iman Henry Zeidan | Family Medicine | 1 N Atkinson Dr, Ludington, MI 49431-1906 | 2008-07-21 |
| 1457524019 | Christa W Lenz | Dietitian, Registered | 1 N Atkinson Dr, Ludington, MI 49431-1906 | 2008-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972006690 | Marti Miller | Physical Therapist | 5916 Iris Rd., Ludington, MI 49431 | 2018-03-09 |
| 1700258670 | Leslie Hahn Ezdebski | Registered Nurse | 318 River St., Suite B, Manistee, MI 49431 | 2015-10-30 |
| 1477888618 | Kathleen M Tooman | Orthotic Fitter | 901 E Tinkham Avenue, Ludington, MI 49431 | 2009-10-06 |
| 1790831592 | Roger Edgren Ostling | Social Worker | 1027 N Rath, Ludington, MI 49431 | 2007-01-25 |
| 1487734364 | Kathryn Jean Niemeyer | Nurse Practitioner | 5 Atkinson Drive, Suite #207, Ludington, MI 49431 | 2006-10-16 |
| 1609986405 | Vivek Thakore | Clinic/Center | 5511 West Us 10 Hwy, Ludington, MI 49431 | 2006-08-30 |
| 1295747756 | Barbara Sleder | Nurse Practitioner | 1 North Atkinson Dr, Ludington, MI 49431 | 2006-08-13 |
| 1083653893 | William L Ingle Dc | Chiropractor | 321 N Jebavy Drive, Ludington, MI 49431 | 2006-06-06 |
| 1366429706 | Andrew S Riemer | Ophthalmology | 5959 Lawndale St, Ludington, MI 49431 | 2005-12-28 |
| 1699240085 | Toby Wessel, Lmsw, Pllc | Social Worker | 612 Sherman Oaks Dr, Ludington, MI 49431 | 2018-10-11 |
| Find all providers in zip 49431 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720559792 | Michigan Surgery Specialists, P.C. | Non-Pharmacy Dispensing Site | 11012 E 13 Mile Rd Ste 201, Warren, MI 48093-2547 | 2018-12-17 |
| 1811468184 | Michigan Surgery Specialists, P.C. | Non-Pharmacy Dispensing Site | 18245 E 10 Mile Rd Ste 130, Roseville, MI 48066-5807 | 2018-12-16 |
| 1407327778 | Michigan Surgery Specialists, P.C. | Non-Pharmacy Dispensing Site | 3100 Cross Creek Pkwy Ste 150, Auburn Hills, MI 48326-2777 | 2018-12-16 |
| 1003332271 | Wrs Pharmacy Solutions, LLC | Non-Pharmacy Dispensing Site | 112 S Main St Ste A, Ann Arbor, MI 48104-1953 | 2017-08-18 |
| 1457759144 | Perfect Eyes Optical LLC | Non-Pharmacy Dispensing Site | 20880 Gratiot Ave, Eastpointe, MI 48021-2822 | 2014-12-11 |
| 1346478740 | Pristine Medical LLC | Non-Pharmacy Dispensing Site | 1502 W West Maple Rd, Walled Lake, MI 48390-2945 | 2009-06-24 |
| 1801910807 | Wolverine Optical Inc | Non-Pharmacy Dispensing Site | 7314 N Alger Rd, Alma, MI 48801-1072 | 2007-03-17 |
| 1255439253 | Anthony J Derrico Do | Non-Pharmacy Dispensing Site | Cancer Care Associates PC, 1701 S Blvd East Ste 350, Rochester Hills, MI 48307 | 2006-09-21 |
| 1336246263 | Clinical Oncology Associates | Non-Pharmacy Dispensing Site | 30160 Orchard Lake Rd, Ste 100, Farmington Hills, MI 48334-2293 | 2006-09-20 |
| 1730124934 | Northpointe Pediatrics PC | Non-Pharmacy Dispensing Site | 30061 Schoenherr Rd, Ste A, Warren, MI 48088-3133 | 2006-06-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.